CMS State Medicaid Directors Letter: Optional Self-Direction Personal Assistance Services (PAS) Program

This letter is one of a series providing guidance on the implementation of section 6087 of the Deficit Reduction Act of 2005, Public Law Number 109-171. Effective 1/1/07, Section 6087, (Cash & Counseling), adds subsection 1915(j) to the Social Security Act. States have the option to provide self-directed PAS to beneficiaries, without regard to the Medicaid requirements of comparability or statewideness. A State plan amendment (SPA) pre-print is enclosed to assist you in submitting an amendment.